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Contra Costa Mental Health Plan Insurance/Medicare Payment Notification Form **** PLEASE COMPLETE FORM AND EMAIL to: MHBilling@hsd.cccounty.us, OR FAX TO (925) 3725115**** Complete this form and email
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Contra Costa Mental Health is a department of Contra Costa County that provides mental health services and support to residents.
Individuals or organizations who provide mental health services in Contra Costa County are required to file.
To fill out contra costa mental health, individuals or organizations must provide information about the mental health services they offer and the number of clients served.
The purpose of contra costa mental health is to ensure that residents have access to quality mental health services and support.
Information such as the types of mental health services provided, the number of clients served, and any outcomes or impact of the services must be reported.
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